A nurse is reviewing the orders of a client admitted to the hospital with a diagnosis of acute pancreatitis. Select the interventions that the nurse would expect to be prescribed for the client.

Correct Answer: B

Rationale: The correct answer is B: Meperidine (Demerol) as prescribed for pain. In acute pancreatitis, pain management is crucial, and Meperidine is commonly used due to its minimal effect on the sphincter of Oddi. Incorrect options: A: Small, frequent high-calorie feedings can exacerbate pancreatitis by stimulating pancreatic enzyme secretion. C: Placing the client in a side-lying position with the head elevated is not a specific intervention for pancreatitis. D: Administering antacids and anticholinergics is not a standard treatment for pancreatitis and may not address the underlying cause of the condition.

Correct Answer: C

Rationale: The correct answer is C: Hematocrit. Hematocrit reflects the proportion of red blood cells in the blood and can indicate hydration status. When a person is dehydrated, their blood becomes more concentrated, leading to an increase in hematocrit levels. In this case, severe abdominal cramping and diarrhea can cause dehydration, making hematocrit the best indicator of hydration status. Explanation for other choices: A: Erythrocyte sedimentation rate is a nonspecific marker of inflammation and not directly related to hydration status. B: White blood cell count is an indicator of infection or inflammation, not hydration status. D: Serum glucose levels are related to blood sugar regulation, not hydration status.

Correct Answer: D

Rationale: Rationale for Correct Answer (D): The patient should avoid drugs and alcohol to prevent further damage to the liver affected by hepatitis B. Substance abuse can exacerbate liver disease. This statement indicates understanding of the importance of liver health. Summary of Other Choices: A: This statement is correct because individuals with hepatitis B should not donate blood to prevent transmission. B: This statement is correct because unprotected sex can transmit hepatitis B to sexual partners. C: This statement is correct because sharing needles can spread hepatitis B through blood-to-blood contact.

Correct Answer: C

Rationale: The correct answer is C: Teaching the client to use a folded blanket or pillow to splint the incision. This measure helps support the incision site, reducing pain during coughing and deep breathing. Splinting the incision promotes effective coughing and deep breathing post-surgery, aiding in lung expansion and preventing complications like atelectasis. Explanation of why other choices are incorrect: A: Having the client take rapid, shallow breaths to decrease pain is incorrect as it can lead to inadequate lung expansion and retention of secretions. B: Having the client lay on the left side while coughing and deep breathing is incorrect as it does not directly support the incision site and may not be as effective in reducing pain. D: Withholding pain medication so the client can be alert enough to follow the nurse's instructions is incorrect as pain management is crucial post-surgery for comfort and optimal recovery.

Correct Answer: B

Rationale: The correct answer is B because discussing concerns about sexual functioning is an appropriate expected outcome at this point. After an abdominal perineal resection with a colostomy, it is important for the client to address any concerns related to sexual functioning as it can impact their quality of life. A: The client maintaining a high-fiber diet is not the most appropriate expected outcome at this point as it may be too soon after surgery to focus solely on dietary adjustments. C: The client maintaining bedrest is not appropriate as early mobilization is usually encouraged after surgery to prevent complications. D: Limiting fluid intake to 1000 ml/day is not recommended as adequate hydration is crucial for recovery post-surgery.